ACCOUNT OPENING FORM FOR NON-RESIDENT INDIAN …

ACCOUNT OPENING FORMFOR NON-RESIDENT INDIAN (NRI): INDIVIDUAL

CONSUMER BANKING

CHOICE ACCOUNT NUMBERChoose your Account Number: (Subject to availability)

NRE Preferred Account Number: NRO Preferred Account Number:

Sum of DigitsOR(Mention sum of digits you want as account number)(Select 1-10 digits of the 12 digit account number)

NRE

Sum of DigitsOR(Mention sum of digits you want as account number)(Select 1-10 digits of the 12 digit account number)

NRO

*Fields are mandatory. Please use tick (ü) sign to indicate selection.

Product Variant (Select any one)

Account Type (Select any one) NRE

Regular

NRO

Indus Maxima

TYPE OF ACCOUNT*

Savings Account:

Current Account: NRE NRO Both (NRE & NRO)

Both (NRE & NRO)

Indus Select Indus Exclusive

Application No.:Branch Code Tatkal Non-Tatkal

Application Date D D M M Y Y Y Y

Reference Code P2 Code

I/ We wish to open my/ our Non-Resident Account(s) at your branch.

MODE OF OPERATION*Single Either or Survivor Anyone or Survivor Jointly Others (please specify) _____________________________________

ndNote: For NRE/ FCNR(B) accounts where 2 applicant is a Resident Close Relative (As defined in Section 2(77) of the Companies Act 2013)/ For NRO accounts ndwhere 2 applicant is a Resident Indian, mode of operation will be Former or Survivor.

Former or Survivor

INITIAL DEPOSIT DETAILSCheque No./ DD No. / Wire Transfer Ref. No.

for Debit my/ our existing IndusInd Bank Ltd NRE/ NRO A/c No. `____________________________

Dated ________________Drawn on ____________________________________

Bank for___________________(currency)_______________________(amount)

Page 1

APPLICANT/S DETAILSDescription st1 Applicant nd2 Applicant

CKYC ID:

Date of Birth*: D D M M Y Y Y Y D D M M Y Y Y Y

1PAN :

First Name*:

Middle Name:

Last Name*:

Cust. ID (Existing Customers)*:

Salutation* Others____________ Please SpecifyMr. Mrs. Ms. Dr. Others____________ Please SpecifyMr. Mrs. Ms. Dr.

Gender*: Male Female Third Gender Male Female Third Gender

1For NR accounts, PAN is mandatory, in the absence of which Form 60 is to be provided.

Marital Status*: Married Single Others Married Single Others

No. of Years Abroad*:

Passport No*:

Date of Issue*: D D M M Y Y Y Y D D M M Y Y Y Y

Date of Expiry*: D D M M Y Y Y Y D D M M Y Y Y Y

Visa No.*:

Visa Issuance Date*: D D M M Y Y Y Y D D M M Y Y Y Y

Visa Expiry Date*: D D M M Y Y Y Y D D M M Y Y Y Y

Mother’s Maiden Name*:

Country of Residence*:

Nationality*:

Place of Issue*:

Overseas Address*:

Landmark:

City/ Town/ Province:

State*:

Country*:

PIN/ ZIP*:

E-mail ID*:

Type of Visa/ Labour Card/Work Permit*: (Visitor & BusinessVisas are not allowed)

India Address*: (If your preferred address for communication is India, please fill India address)

Landmark:

PIN/ ZIP*:

Preferred Addressfor Communication*:

Overseas India Overseas India

City/ Town/ Province:

State*:

Mobile No.*:Country Code Number

-Country Code Number

-

Number Area Code Area Code

Tel. No.: - -Country Code

- -Country Code Number


Fax: - -Country Code


Mobile No.*:Country Code Number

-Country Code Number

-


Tel. No.: - -Country Code



Fax: - -Country Code


Resident Indian

Residential Status*: Non Resident Indian Person of Indian Origin(PIO) Non Resident Indian Person of Indian Origin(PIO)

Overseas Citizen of India (OCI) Overseas Citizen of India (OCI)

Others ________________________ (Please specify) Others ________________________ (Please specify)

stRelation with 1 Applicant:

Page 2

CUSTOMER PROFILE FORM KYC CHECK LISTST1 APPLICANT ND2 APPLICANT

OCCUPATION*Salaried Self-Employed Self-Employed Professionals Retired Salaried Self-Employed Self-Employed Professionals Retired

House-wife Student Others:______________________ House-wife Student Others:______________________

SOURCE OF FUNDS*Salary Business Investment Gift Salary Business Investment Gift

Professional Fee Others:______________________ Please Specify Professional Fee Others:______________________ Please Specify

MONTHLYINCOME*

Up to ` 50,000 ` 1 lac to ` 3 lacs` 50,001 to ` 1 lac Up to ` 50,000 ` 1 lac to ` 3 lacs` 50,001 to ` 1 lac

` 3 lacs to ` 5 lacs Above ` 5 lacs ` 3 lacs to ` 5 lacs Above ` 5 lacs

LINE OF BUSINESS*(In case of salaried persons that of the employer)

ARE YOU A POLITICALLY EXPOSED PERSON (PEP)?*

Yes No Yes NoPolitically Exposed Persons are individuals who are or have been entrusted with prominent public functions in a foreign country, e.g. Heads of States of Governments, senior politicians, senior government/ judicial/ military officers, senior executives of state-owned corporations, important political party officials, etc. In addition, a 'Politically Exposed Person' includes the immediate family members of a Politically Exposed Person such as spouse, children, parents and other relatives. Politically Exposed Person includes even close associates like advisors, secretaries and other associates of a Politically Exposed Person who conduct transactions on behalf of a Politically Exposed Person.

Politically Exposed Persons are individuals who are or have been entrusted with prominent public functions in a foreign country, e.g. Heads of States of Governments, senior politicians, senior government/ judicial/ military officers, senior executives of state-owned corporations, important political party officials, etc. In addition, a 'Politically Exposed Person' includes the immediate family members of a Politically Exposed Person such as spouse, children, parents and other relatives. Politically Exposed Person includes even close associates like advisors, secretaries and other associates of a Politically Exposed Person who conduct transactions on behalf of a Politically Exposed Person.

DECLARATION AS PER FATCA-CRS*

Are you a Tax resident of any country other than India? Yes No

If YES, please provide the following information. Please indicate all the countries in which you are a resident for tax purposes and the associated Tax Identification Number below

Country Identification Type(TIN or Others, please specify)

Tax identification No. (In case Taxidentification No. is not available, kindly

provide functional equivalent)

Are you a Tax resident of any country other than India? Yes No

If YES, please provide the following information. Please indicate all the countries in which you are a resident for tax purposes and the associated Tax Identification Number below

Country Identification Type(TIN or Others, please specify)

Tax identification No. (In case Taxidentification No. is not available, kindly

provide functional equivalent)

$For deposit invested up to a period of 180 days, interest will be paid at maturity.#Linked Current/ Savings Account will be applicable for initial payment, interest/ maturity payment, and sweep in facility, if selected. Sweep in facility is not available on NRE Deposits.Interest on FCNR deposit is compounded half yearly. Monthly/ Quarterly pay-out option is not available on FCNR deposit

Maturity Instructions: Renew Principal and Interest Renew Principal and Pay Back Interest Do not Renew

Interest Payment and Maturity Payment Instructions:

#Credit to linked IndusInd Bank account

Account No.:

Debit Account No.:

Debit Account No.:

IFSC: For NEFT

#Sweep-in Facility : Yes No (Linking of Fixed Deposits with Current/ Savings Account for fulfillment of any shortfall(s) in the Current/ Savings Account)

Interest Payment$Frequency (Please fill

only for deposits > 180 days):Reinvestment Payout Quarterly Payout Monthly

FIXED DEPOSIT (FD)/ RECURRING DEPOSIT (RD) INSTRUCTION

NRE NRO FCNR

FCNR USD GBP EURO CAD AUD YEN

To open multiple accounts, please tick against respective account types.

FD

RD

%Rate of Interest:

%Rate of Interest:

Amount: .

Tenure: Months DaysYears

Tenure: Months DaysYears

Amount: .

Manufacturer Wholesale Trader

Retail Trader

Services

Import/ Export

Manufacturer Wholesale Trader

Retail Trader

Services

Import/ Export

NATURE OF INDUSTRY* Arms Dealer Banking ServicesAutomobiles

Business CorrespondentBPO CementCall Centre Chemicals

Chit Funds Construction/ Real Estate

Consumer Durables ElectronicsEducationEngineeringEmbassies/ Consulates

Fertilisers/ Seeds/ PesticidesFMCG

Healthcare Gems & Jewellery Hotel/ Restaurant

Infrastructure LeatherIT/ ITESMetals & MiningLogistics Media & Entertainment

Money Changer/ Forex Dealer NBFC

Oil & GasPetrol Pump/ Gas Station

Pharmaceuticals PowerPolitical Party

RetailReligious Institution Shipping

Telecom TobaccoTextilesStock/ Commodity BrokerTravel & Tourism

Other__________________________

Agriculture Airlines Antique/ Art Dealer

Arms Dealer Banking ServicesAutomobilesBusiness CorrespondentBPO CementCall Centre Chemicals

Chit Funds Construction/ Real Estate

Consumer Durables ElectronicsEducationEngineeringEmbassies/ Consulates

Fertilisers/ Seeds/ PesticidesFMCG

Healthcare Gems & Jewellery Hotel/ Restaurant

Infrastructure LeatherIT/ ITESMetals & MiningLogistics Media & Entertainment

Money Changer/ Forex Dealer NBFC

Oil & GasPetrol Pump/ Gas Station

Pharmaceuticals PowerPolitical Party

RetailReligious Institution Shipping

Telecom TobaccoTextilesStock/ Commodity BrokerTravel & Tourism

Other__________________________

Agriculture Airlines Antique/ Art Dealer

Value Date: D D M M Y Y Y Y

Page 3

DOCUMENTS TO BE SUBMITTEDSr. No. Documents st1 Applicant nd2 Applicant

Recent Photograph

PAN or in absence thereof, declarations in Form No. 60

In case of Mariners, copy of CDC and Employment contract is mandatory

1.

2.

3.

4.

5.

6.

Copy of valid proof for NRI status, one of below as relevant· Separate proof of NRI status (in case not included on Passport)· Valid Work/ Resident Permit· Employment Visa

Overseas address is mandatory to be mentioned on the application form. Address proof only required to support communication address (Indian/ Overseas) basis customer preference. Address proof is required separately only if same is not captured in passport provided by customer

Acceptable Identity Proof Document:· For NRI Customers: Valid Indian Passport (First 2 and last 2 pages stating the customer’s name, date of birth, date of issue, date of expiry, photograph and address)· For PIO/ OCI Customers: Valid Foreign Passport

Person of Indian Origin (PIO) card/ overseas Citizenship of India (OCI) card

Utility Bill (issue date should not be more than 2 months old from the date of Account Opening )Existing Bank Statement for last 3 months - Not older than 3 months. /Credit Card BillOthers (Please check with IndusInd Bank staff on list of acceptable documents)

6.

7.

8.

Valid Driving License (Smart card Driving License) Voter ID/ Election Card issued by Election Commission of India

Valid National ID card issued by the foreign govt. having the customer’s name, photograph, and address

3.

4.

5.

List of Acceptable Address Proof Documents

Sr. No. India Address

Valid Passport

Valid VISA Copy/ Resident Permit

1.

2.

I/ We understand that the NRI account/s is being opened by the bank basis the PIO declaration given by me/ us. I/ We certify that the particulars given above are true.

I ________________________________________________________________________ nd(2 account holder) hereby declare that I am a Person of Indian Origin (and I am not a

citizen of Pakistan or Bangladesh) and I satisfy one of the below mentioned conditions:

I ________________________________________________________________________ st(1 account holder) hereby declare that I am a Person of Indian Origin (and I am not a

citizen of Pakistan or Bangladesh) and I satisfy one of the below mentioned conditions:

PERSON OF INDIAN ORIGIN (PIO) DECLARATION

I was a holder of an Indian passport in the past.

Passport No.

Place of issue and Expiry Date

Second Holder

Second Holder

First Holder

First Holder

Name of Territory Name of Territory

Spouse Name:_____________________________________ Spouse Name:_____________________________________

My father/ mother/ grandfather/grandmother (name as given) is/ was a citizen of India by virtue of the Constitution of India or the Citizenship Act, 1955 (55 of 1955)

Tick any one:

Father’s Name

Grandfather’s Name

Father’s/ Mother’s/ Grandfather’s/ Grandmother’s Name

Mother’s Name

Grandmother’s Name

Tick any one:

Father’s Name

Grandfather’s Name

Father’s/ Mother’s/ Grandfather’s/ Grandmother’s Name

Mother’s Name

Grandmother’s Name

Second HolderFirst Holder

Second HolderFirst Holder

E-Statement Overseas Mobile Number SMS Alerts Indian Mobile Number

For charges & fees, please refer to our Schedule of Charges. Terms and Conditions apply. Debit Card will not be issued in case the appropriate checkbox is not ticked. SMS Alerts to International Mobile numbers available only in select countries. In case appropriate checkbox is not ticked under SMS Alerts, the alerts will be sent on the Mobile No. corresponding to the Preferred Address for Communication opted.

DIRECT BANKING (Accounts with Joint mode of operations not eligible)

NA NA NA NA NA NA NA

NA NA NA NA

Others(Please mention Card Type)

NRE/ NRO Regular NRE/ NRO Maxima NRE/ NRO Select NRE/ NRO Exclusive

Debit/ ChipDebit Card type

Titanium/ Gold Chip

World/ Signature Chip

NRO(For Domestic

Use only) -Tick any one

NRETick any one

NRE Tick any one

NRETick any one

NRE Tick any one

NRO(For Domestic


NRO(For Domestic


NRO(For Domestic


If you have applied for an IndusInd Bank Debit Card, please mention your name as you want it to be embossed on your card:

First Applicant: Second Applicant:

Overseas Address

Person of Indian Origin (PIO) card/ overseas Citizenship of India (OCI) card

Others (Please check with IndusInd Bank staff on list of acceptable documents)5.

Valid Driving License (Smart card Driving License)

3.

4.

Sr. No.

Valid Passport1.

2.

Platinum Chip NA NA NANA

Regular

Page 4

I belong to a territory that became part of India after 15th day of August 1947 and never availed citizenship of Pakistan and Bangladesh.

I am the spouse of an Indian Citizen/ Person of Indian Origin

GENERAL DECLARATION FOR NRIs• I/ We hereby declare that I / we am / are Non-Resident Indian / Person of Indian Origin. I / We understand that the above account will be opened on the basis of the statements /

declarations made by me / us, and I / we also agree that if any of the statements / declarations made herein is found to be incorrect in material particulars, you are not bound to pay any interest on the deposit made by me / us. The account will be put into use for bonafide transactions not involving any violation of the provisions of any regulations/ laws of the country of my residence and of India including the provisions under the Foreign Exchange Management Act,1999.

• I/ We undertake to intimate the Bank immediately on my/ our return back to India with the intention of staying there for an indefinite period or for permanently and till then furnish a declaration to the Bank that I/ we continue to stay outside India and have not become residents of India under the provisions of Sec. 6 of The Income Tax Act, 1961.

• I/ We agree that no claim will be made by me / us for any interest on the deposit(s) for any period after date(s) of maturity of the deposit(s).• I/ We agree to abide by the provision of the Foreign Currency (Non-Resident) Account, Non-resident (External) Account Scheme. l/ We hereby undertake to intimate you about

my / our return to India for permanent residence immediately on arrival.• I/We confirm that the amounts deposited/ invested in the account/s shall be legally belonging to me and will be through legitimate sources and will not be for the purpose of

the contravention of any law including Anti Money Laundering Laws.• I/ We authorize the Bank to automatically renew the deposit on due date for an identical period (unless otherwise specifically instructed before due date). The earlier receipt

given to me will be treated as discharged receipt on due date. I/ We understand that the interest applicable or renewals will be at the applicable ruling rates on the date of maturity and that the renewed receipt will be made available on my/ our presenting the duly discharged original receipt on the maturity date or later for payment.

• I/ We further understand that the renewal will be in accordance with the provisions of the Reserve Bank of India Scheme in force at the time of renewal.• I/ We agree that if the premature withdrawal is permitted at my /our request, the payment of interest on the deposit may be allowed in accordance with the prevailing

stipulations laid down by Reserve Bank of India in this regard.• I/ We shall not make available to any person resident in India, foreign currency against reimbursement in Rupees or in any other manner in India.• I/ We would confirm that all debits to my/ our accounts for the purpose of investment in India and credits representing sale proceeds of Investments in India are covered either

by general or special permission of Reserve Bank of India.• I/ We have read, understood that any changes in terms and conditions applicable to this relationship would be made available to me / us on request at any Induslnd Bank Branch.• I/ We do hereby declare that information furnished in this form is true to the best of my/ our knowledge and belief.• I/ We hereby authorize issuance of Debit card and provision of Internet Banking, Mobile Banking and Phone Banking Services as above. I/ we undertake to ratify and confirm all

the user(s) do(es) or cause(s) to do through ATM, POS, Net Banking, Mobile Banking and Phone Banking Channels. This authority shall continue to be in force until anyone of us revokes by a notice in writing delivered to you.

• I/ We have received the deposit rules annexed to this account opening form and agree to abide by the same.• In case of joint accounts, instructions received from one of the account holders to stop operations will be deemed to be sufficient notice to the Bank to act upon such

instructions. Further operations would be allowed only upon receipt of fresh instructions from all the account holders• I/ We consent / do not consent to receive information / service updates and product updates etc. for Marketing purposes through Telephone/Mobile/SMS/Email by the

Bank/ its agents. I/ We confirm that I/ We have read and understood the above Declaration, and that the contact details provided on the form are correct.• I/ We hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I under t a k e to inform you of any changes therein,

immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it.• I/ We hereby consent to receiving information from Central KYC Registry through SMS/Email on the above registered number/email address.

Name: Name: st1 Applicant

Recent Passport Size

Photograph

(Sign Across)

nd2 Applicant

Recent Passport Size

Photograph

(Sign Across)Signature of First Applicant Signature of Second Applicant

Mariners International Declaration (Leave blank if not applicable)I hereby declare and confirm that I am a Non-Resident Indian and I am presently on contract with (mention name of the shipping company) ________________________________________________________________________________________ company registered in (mention country's name) _____________________________________________________________________________________________(address of the principal) I also confirm that I will inform the Bank, in case I do not renew my contract OR choose to go on a new contract OR I am unable to proceed on a new contract OR in any case in the event that my status of Non-resident Indian is altered. I hereby confirm that I have just returned after completion of my contract with ____________________________________________(company) registered in________________ __________________________ (address of the principal). I am on a break for_____________days/ months and will be joining on a new contract on/ by_____________________.

Minor Declaration (Leave blank if not applicable)

Name of the Guardian_________________________________________Full Address_____________________________________________________________City________________________________________________________Country_________________________________________________________________I hereby declare that the date of birth of the minor who is my____________ __________________ is__________and I am his / her natural and lawful guardian / guardian appointed by court order dated ______(copy enclosed). I shall represent the said minor in all future transactions of any descriptions in the above account until the said minor attains majority. I also confirm that funds held in minor account would be utilized for the benefit of the minor. I indemnify the bank against the claim of the above minor for any withdrawal / transactions made by me in his/ her account.

Page 5

ANNEXURE I

I/ We hereby confirm that I/ We do not require any nomination facility on my/our bank deposit

I/ We require nomination under Section 45ZA of the Banking Regulation Act 1949, and rule 2(1) of the Banking Companies (Nomination) Rules 1985 in respect of the bank deposits.

I/ We_____________________________________________________________nominate the following person(s) to whom in the event of my/our minor’s

death the amount of deposit in the account may be returned by IndusInd Bank Ltd.

NOMINATION FORM DA1 (Please choose one of the available options)

Details of Deposit

Nature of Deposit &Distinguishing No.

Additional details, if any

Name Address Relationship with Depositor, if any

Age If nominee is a minor, his/ her date of birth

Nominee

**As the nominee is a minor on this date, I/ We appoint_____________________________________________________________________________________

to__________________________________________________________________receive the amount of the deposit in the account on behalf of the nominee

in the event of my / our minor's death during the minority of nominee

*Signature/s/ Thumb impression of the depositor/s

Witness(es)

*Where deposit is made in the name of minor, the nomination must be signed by a person lawfully entitled to act on behalf of the minor. **Strike out if nominee is not a minor.***Thumb impression(s) shall be attested by two witnesses.

We acknowledge your nomination in form DA1 relating to Account No. in the name of

Stamp/ Seal

Ref. No.: Date of Registration: D D M M Y Y Y Y

Manager:

Signature***

Address:

Name:

Signature***

Address:

Name:

ACKNOWLEDGEMENT

Page 6

I agree / Do not agree for the name of my nominee to be displayed on Fixed Deposit Advice/ Statement of Account and/or other documents/ letters.

Note:1. Before signing the declaration, the declarant should satisfy himself that the information furnished in this form is true, correct and complete in all respects. Any person making a

false statement in the declaration shall be liable to prosecution under section 277 of the Income-tax Act, 1961 and on conviction be punishable, (i) in a case where tax sought to be evaded exceeds twenty-five lakh rupees, with rigorous imprisonment which shall not be less than six months but which may extend to seven

years and with fine; (ii) in any other case, with rigorous imprisonment which shall not be less than three months but which may extend to two years and with fine.2. The person accepting the declaration shall not accept the declaration where the amount of income of the nature referred to in item 22b exceeds the maximum amount which is

not chargeable to tax, unless PAN is applied for and column 21 is duly filled.

ANNEXURE II

19. Mode of transaction:

20. Aadhaar No. issued by UIDAI (if available)

21. If applied for PAN and it is not yet generated, enter date of application and acknowledgement number

5. Floor No.

7. Block Name/No.

9. Area/ Locality

13. Pin code 14. Tel. No. (with STD code)

15. Mobile No.

16. Amount of transaction (`)

4. Flat/ Room No.

6. Name of premises

8. Road/ Street/ Lane

10. Town/ City

12. State 12A. Country

14A. Overseas Tel. No. (with ISD code)

FORM NO. 60 (In absence of PAN Card)

2. Date of Birth1. Name D D M M Y Y Y Y

3. Father's Name (in case of individual)

11. District

-S T D + 9 1

-S T D

18. In case of transaction in joint names, number of persons involved in the transaction

17. Date of transaction D D M M Y Y Y Y

Cash Cheque Card Draft/Banker's Cheque Online transfer Other

20A. OCI/ PIO Card No.

D D M M Y Y Y Y

22. If PAN not applied, fill estimated total income (including income of spouse, minor child etc. as per section 64 of Income-tax Act, 1961) for the financial year in which the above transaction is held. Please mention income including income earned abroad during financial year.

a. Agricultural income (`) b. Other than agricultural income (`)

23. Details of document being produced in support of identify in Column 1

Name and address of the authority issuing the document

Document code Passport number

24. Details of document being produced in support of address in Columns 4 to 13

Name and address of the authority issuing the document

Document code Document Identification number

Verification I, do hereby declare that what is stated above is true to the

best of my knowledge and belief. I further declare that I do not have a Permanent Account Number and my/ our estimated total income (including income

of spouse, minor child etc. as per section 64 of Income-tax Act, 1961) computed in accordance with the provisions of Income-tax Act, 1961 for the financial

year in which the above transaction is held will be less than maximum amount not chargeable to tax. Verified today, the day of 20 Place: (Signature of declarant)

Page 7

Instruction: (1) Documents which can be produced in support of identity and address (not required if applied for PAN and item 20 is filled):

Nature of Document Document

Code Proof ofIdentity

Proof ofAddress

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

No

No

No

No

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

No

No

No

No

No

No

No

No

No

No

No

No

A. For Individuals and HUF

AADHAAR Card

Bank/Post office passbook bearing photograph of the person

Elector’s photo Identity Card

Ration/Public Distribution System card bearing photograph of the person

Driving License

Passport

Pensioner Photo card

National Rural Employment Guarantee Scheme (NREGS) Job card

Caste or Domicile certificate bearing photo of the person

Certificate of identity/address signed by a Member of Parliament or Member of Legislative Assembly or Municipal Councillor or a Gazetted Officer as per annexure A prescribed in Form 49A

Certificate from employer as per annexure B prescribed in Form 49A

Kisan passbook bearing photo

Arm’s license

Central Govt. Health Scheme /Ex-servicemen Contributory Health Scheme card

Photo identity card issued by the government./ Public Sector Undertaking

Electricity bill (Not more than 3 months old)

Landline Telephone bill (Not more than 3 months old)

Water bill (Not more than 3 months old)

Consumer gas card/book or piped gas bill (Not more than 3 months old)

Bank Account Statement (Not more than 3 months old)

Credit Card statement (Not more than 3 months old)

Depository Account Statement (Not more than 3 months old)

Property registration document

Allotment letter of accommodation from Government

Passport of spouse bearing name of the person

Property tax payment receipt (Not more than one year old)

Letter issued by National Population Register containing details of name and address as an address

01

02

03

04

07

08

09

10

11

13

14

15

16

12

06

05

17

18

19

20

23

24

25

26

22

21

27

Yes

Yes

Yes

Yes

C. For Association of persons (other than Trusts) or Body of Individuals or Local authority or Artificial Juridical Person)

B. For Association of persons (Trusts)

Copy of Agreement or copy of certificate of registration issued by Charity commissioner or Registrar ofCooperative society or any other competent authority or any other document originating from any Centralor State Government Department establishing identity and address of such person.

Copy of trust deed or copy of certificate of registration issued by Charity Commissioner

(2) In case of a transaction in the name of a Minor, any of the above mentioned documents as proof of Identity and Address of any of parents/ guardians of such minor shall be deemed to be the proof of identity and address for the minor declarant, and the declaration should be signed by the parent/ guardian.

(3) For HUF any document in the name of Karta of HUF is required. (4) In case the transaction is in the name of more than one person, the total number of persons should be mentioned in Sl. No. 18 and the total amount of

transaction is to be filled in Sl. No. 16. In case the estimated total income in column 22b exceeds the maximum amount not chargeable to tax, the person should apply for PAN, fill out item 21 and furnish proof of submission of application.

Page 8

ANNEXURE IIIINDEMNITY LETTER RELATING TO INSTRUCTIONS GIVEN BY EMAIL

ToInduslnd Bank Limited,Notwithstanding anything to the contrary contained in any other document/ agreement, I/ We, the undersigned, hereby request and authorize you to act and rely on any instructions or communications for any purpose (including but not limited to the instructions/ communications pertaining to the operation of all my / our accounts or to any other facilities or services that may be provided by you from time to time) which may from time-to-time be or purport to be given by facsimile, untested telexes and faxes, telegraph, cable or email by me/ us including such instructions/ communications as may be purported to be given by those authorized to operate my/ our account(s) with you. I/ We understand and acknowledge that there are inherent risks involved in sending the instructions to you via facsimile, untested telexes and faxes, telegraph, cable or e-mails and hereby agree and confirm that all risks shall be fully borne by me/ us and I/ we assume full responsibility for the same, and I/ we will not hold the Bank liable for any losses or damages including legal fees arising upon your acting, or your failure to act, wholly or in part in accordance with the instructions so received.In view of you agreeing, subject to the terms and conditions hereunder, to act upon the instructions as aforesaid, I/ We hereby irrevocably agree and undertake:That the Bank shall be entitled to act as you see fit, without incurring any liability whatsoever to me/ us or to any other person, upon any instructions for any purpose which may from time to time be or purport to be given by facsimile, untested telexes and faxes, telegraph, cable or e-mail by me/ us (including such instructions as may be or purported to be given by those authorized to operate my/ our account(s) with you), even if such instructions or communications are not followed up by written confirmation to the Bank.That the instructions shall be conclusively presumed for your benefit to be duly authorized by and legally binding on me/ us, and I/ We shall be fully responsible for the same.You shall not be responsible to ensure the authenticity, validity or source of any instructions and shall not be liable if any instructions turned out to be unauthorized, erroneous or fraudulent.That you shall be entitled (but not obliged) to keep records of our instructions given or made by facsimile, untested telexes and faxes, telegraph, cable or any other form of electronic communication in such form, physical or electronic, as you may in your sole discretion deem fit, and your records shall be conclusive and binding on me/ us. You shall be entitled to dispose of or destroy any such records at any time and determined by your sole discretion.That you shall be authorized to disclose all instructions as you may deem fit, to your affiliated, counter parties, service providers, regulators and other authorities or where you are required by law to do so or to protect the interest of your bank.That you shall be entitled to require any instruction in any form to be authenticated by use of any password, identification code or test as may be specified by you from time to time and I/ We shall ensure the secrecy and security of such password, code or test and I/ We shall be solely responsible for any improper use of the same and I/ We shall not make any claim on you.That, notwithstanding the above you may, under circumstances determined by you in your absolute discretion, require from me/ us confirmation of any instructions in such form as may specify before acting on the same; and I/ We shall submit such confirmation to you immediately upon receipt of your request. Pursuant to receipt of instructions, you shall have the right but not the obligation to act upon such instructions.That you shall not be liable to me/ us or any third party for, and that I/ We (jointly and severally) shall indemnify you and keep you indemnified from and against all claims either by me/ us or any other, actions, demands, liabilities, costs, charges, damages, losses, expenses and consequences of whatever nature (including legal fees on a full indemnity basis) and howsoever arising which may be brought or preferred against you or that you may suffer, incur or sustain by reason or on account of you having so acted whether wrongly or mistakenly or not, or of your failing to act wholly or in part in accordance with the instructions and the terms of this letter.That I/ We confirm that I/ We have the capacity and authority to accept this document and that this document constitutes our valid, legal, effective and enforceable obligation.That this undertaking cum indemnity letter shall be governed and construed in accordance with the laws of India and I/ We hereby submit to the exclusive jurisdiction of the courts in Mumbai.This undertaking is an irrevocable letter and binding on my/our heirs and assigns.Yours faithfully,

E-mail ID*:

*In case E-mail ID is not filled up here and you have opted for Instruction by Fax & E-mail, E- mail ID mentioned by you in the First Applicant details will be considered.

Account Office: Indian Branch______________________________________ Dubai London OthersAbu Dhabi

Mode of Account Opening: Face to Face Non Face to Face

FOR BANK USE ONLY

CUST ID: Account No.:

Sourcing Executive Name:

Account opened in the CPU by:

Office Stamp:

Sourcing Executive Signature,Employee No.

Deputy Branch Manager and Branch Manager Signature,SS No. or Employee No. & Branch Round Stamp

Sourcing Executive Employee No.:

Signature of First Applicant

Name:

Signature of Second Applicant

Name:

RM Employee No.:

RM Name:

Page 9

ANNEXURE IVREQUEST TO ADD A MANDATE HOLDER (FOR NRE & NRO ACCOUNT)

Date:

Dear Manager

Sub: Request to add a Mandate Holder

I/ We wish to add a mandate in the account(s). Mentioned below are the details:

ToThe Branch ManagerIndusInd Bank Limited

Branch

Note: Mandate Holder must be a resident Indian

Photo of Mandate Holder

35 x 40 mm.(Please sign acrossthe photograph)

Given below are the details of the Mandate Holder

D D M M Y Y Y Y

Name of Account Holder(s)*: (1)

Account Number*:

and (2)

Name of Mandate Holder*:

Customer ID of Mandate Holder* (For Existing Customer only) CKYC ID:

Date of Birth*: D D M M Y Y Y Y

Communication address*:

Telephone Number: -S T D Mobile Number*: + 9 1

E-mail address*:

Relationship with the first named account holder* (mention relationship)

I wish to make available to the Mandate Holder

Debit Card (For Domestic Use only)

Notes:1) Documentary proof includes Identity Proof, Address Proof and 1 Photograph. 2) Signature of all account holders is mandatory for mandate addition.

Declaration by the Account Holder(s):I/ We, the Account Holder(s) and the Mandatee (Holder of the Mandate Facility) have read and understood the IndusInd Bank Account Terms and Conditions in the Account Application Form as well as the Mandate Form. I/We, the Account Holder(s) and the Mandatee, agree to be bound by the said Terms and Conditions excluding/ limiting your liability. I/ We, the Account Holder(s) also confirm that the Mandatee can avail of all facilities as provided/ will be provided to me/ us by IndusInd bank and I/ We authorize the Mandatee to conduct all local transactions permitted as per FEMA/ receive information on my/ our behalf.I/ We, the Account Holder(s) accept that at my/ our request you have agreed to provide the Mandatee (details as provided by me/ us above) the facility of carrying out banking transaction. I/ We, the Account Holder(s) unconditionally agree that:(i) I/ We shall not hold the Bank liable on account of the Bank acting on instructions from the Mandatee;(ii) in following such instructions, the Bank will be doing so on a best-effort basis and I/ we/ the Mandatee shall not hold the Bank liable on account of delay or

inability on the part of the Bank to act immediately or at all on any of my/ our/ the Mandatee instructions;(iii) the Bank may in its discretion, withdraw or suspend the facility wholly or in part at any time;(iv) in case of a Joint Account, the Bank may act on Instructions from either/ any of us/ the Mandatee;(v) the Bank may in its discretion decide not to carry out any instructions where the Bank has reason to believe (which decision of the Bank I/ we shall not

question or dispute) that the instructions are not genuine or otherwise improper or unclear or raise a doubt;(vi) In the event there is a discrepancy in the particulars or details of any transactions carried out by the Bank in any of my/ our Account(s), I/ we shall be

obliged to intimate to you in writing any discrepancy in my/our Account(s) within 10 days of receiving your advice or within 10 days from the date of receipt of my/ our periodic statement of account, whichever is earlier, failing which the transaction shall be deemed to be correct and as accepted by me/ us. In consideration of your providing the said facility, I/ We agree to indemnify and hereby keep you indemnified from and against all actions, claims, demands, proceedings, losses, damages, costs, charges and expenses whatsoever which your Bank may at any time incur, sustain, suffer or be put to as a consequence of or by reason of or arising out of providing me/ us the said facility or by reason of your Bank in good faith taking or refusing to take or omitting to take action on my/ our/ the Mandatee instructions. I/We further certify that the details in my/ our/ the Mandatee relationship record are correct. I/ We, the Account Holder(s) and the Mandatee further understand that the usage of the Mandatee ATM Card is restricted to India. I/ We, the Account Holder(s) and Mandatee understand and acknowledge that Induslnd Bank reserves the absolute right to accept or reject this application in its sole discretion without assigning any reason thereof.

Yours truly,

Gender*: Male Female Third Gender

Signature of First Account Holder Signature of Second Account Holder Specimen Signature of Mandate Holder

*Fields are mandatory

NRE NRO

PAN:

Page 10

Permissible Operations by the Mandate Holder/ POA:

• To draw cheques on the Account for local payments

• To deposit foreign currency cheques in the NR account on behalf of the account holder as permitted by RBI regulations

• To make NRE/ NRO Fixed deposits from balances available in the Account in Account Holder(s) names under the same Customer ID and renew such deposits for such periods as may be given in writing by the Mandate Holder

• To operate the account to facilitate making investments in India, as per the eligibility of the account holder to make investments in India

• To use Debit Card issued in respect of the mentioned Account.

• To request for cheque book

• To change address for self

• Mandate Holder can request for re-issue of Mandate Holder card and Mandate Holders ATM PIN

• To activate an account from inactive/ dormant status to active

• Remittance to the account of the account holder held outside India

Restrictions on the Mandate Holder/ POA:

• Mandate Holder cannot open new Accounts, which has to be done by the Non-Resident Account Holder himself, except for transferring funds to a Fixed Deposit/ Recurring Deposit in the name of the account holder

• The Resident Mandate Holder/ POA is not permitted to repatriate outside India funds held in the account other than to the non-resident individual account holder nor make payment by way of gift to a resident on behalf of the non-resident account holder or transfer funds from the account to another NRO account.

• Mandate holder cannot close the Account or do a premature liquidation of a Fixed Deposit/ Recurring Deposit

• Mandate Holder cannot request for re-issue of Account holder Debit Card, Account holder's PIN and request for change of address for the account holder

• Mandate Holder cannot deposit foreign currency into NRE account

Page 11

NRIAOF\05\19